Archana Gutta

Controlled Substance Registration - Dentist

Indiana  12011555B   Expired

This Indiana license was held by Archana Gutta. The license is no longer active. It was granted on 11/22/2010 and expired on 03/01/2014

LICENSE DETAILS

  • License Number: 12011555B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 11/22/2010 (over 13 years ago)
  • Expiry Date: 03/01/2014 (over 10 years ago)

LOCATIONS

A Address

Kool Smiles Inc., 1800 Fort Harrison Road, Terre Haute IN 47804